| Regimental number | 14060 |
| Place of birth | Stawell Victoria |
| Religion | Church of England |
| Occupation | Railway employee |
| Address | St George Street, Stawell, Victoria |
| Marital status | Single |
| Age at embarkation | 24 |
| Next of kin | Mother, Mrs C Payne, St George Street, Stawell, Victoria |
| Enlistment date | 20 July 1915 |
| Date of enlistment from Nominal Roll | 17 March 1916 |
| Rank on enlistment | Private |
| Unit name | 3rd Australian Casualty Clearing Station |
| Embarkation details | Unit embarked from Melbourne, Victoria, on board HMAT A7 Medic on 20 May 1916 |
| Rank from Nominal Roll | Corporal |
| Unit from Nominal Roll | ACCS |
| Fate | Returned to Australia 12 May 1919 |
